Great News for Carolina Complete Health Members!
Blue Jay ABA proudly accepts Carolina Complete Health Insurance for ABA therapy services!
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Your child's path to personalized ABA therapy is just a step away. Contact us now to verify your coverage and begin services!
Does Carolina Complete Health Cover ABA Therapy?
Yes, Carolina Complete Health provides coverage for ABA therapy, a treatment for individuals diagnosed with Autism Spectrum Disorder (ASD). However, coverage specifics vary depending on your plan, state regulations, and medical necessity. Below is an overview of Carolina Complete Health’s ABA therapy coverage.
Key Points About Carolina Complete Health’s ABA Therapy Coverage
- General Coverage: Coverage is available for individuals diagnosed with ASD by a licensed provider. Coverage details, including the number of sessions or therapy hours, vary based on your plan and state mandates.
- State Mandates: Some states have laws requiring coverage for ABA therapy up to a certain limit, which may affect Carolina Complete Health plans.
- Medical Necessity & Pre-Authorization: A diagnosis of ASD is required, and Carolina Complete Health may request pre-authorization for therapy. This ensures the therapy meets their criteria for coverage.
- Limitations & Exclusions: There may be restrictions on where therapy can be provided, such as at-home or clinic settings. Additionally, there might be limits on the number of sessions covered annually.
Steps to Verify Carolina Complete Health ABA Coverage
- Review Your Plan: Check your plan details to see if there are any limits or exclusions for ABA therapy.
- Request Pre-Authorization: Ensure you receive pre-authorization from Carolina Complete Health before starting therapy.
- Verify Provider Network: Ensure your ABA therapist is within Carolina Complete Health’s network to avoid high out-of-pocket costs.
- Understand Coverage Limits: Familiarize yourself with any session or hour caps to maximize your benefits.
Conclusion
At Blue Jay ABA, we are committed to helping families with Carolina Complete Health insurance access vital ABA therapy services. Our team is here to assist with verifying your coverage, obtaining pre-authorizations, and navigating any limitations or requirements. With our support, you can focus on what matters most—your child’s progress. Contact us today to learn how we can help you maximize your insurance benefits and ensure your child gets the care they deserve.
Frequently Asked Questions
Does Carolina Complete Health cover ABA therapy?
Yes, but coverage specifics depend on the type of plan and state regulations.
What is required for Carolina Complete Health to cover ABA therapy?
You need an ASD diagnosis and medical necessity determination from a licensed provider.
We’ve Got You Covered
Navigating insurance plans can be complex, with each provider offering unique coverage and rules. At Blue Jay ABA, we are committed to making a positive impact for families in North Carolina. Understanding the importance of affordability, we streamline the process of using insurance to access vital
ABA therapy services, ensuring that the path to growth and development is accessible for your loved ones.
Our ABA Therapy Insurance Partners
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